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PPA Monthly OHS Report Form

This document is a monthly occupational health and safety report form for Port Hedland Port Authority (PPA) sites. It requests information such as total employee and subcontractor hours worked, safety statistics like the number of incidents reported and safety meetings held. The form is to be returned to the PPA Health and Safety team by the first of each month. It also provides contact information for incident and hazard reporting to PPA.

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88 views

PPA Monthly OHS Report Form

This document is a monthly occupational health and safety report form for Port Hedland Port Authority (PPA) sites. It requests information such as total employee and subcontractor hours worked, safety statistics like the number of incidents reported and safety meetings held. The form is to be returned to the PPA Health and Safety team by the first of each month. It also provides contact information for incident and hazard reporting to PPA.

Uploaded by

almamunmolla96
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PPA MONTHLY OHS

REPORT FORM

Please return this form to the PPA Health and Safety team by no later than the first (1st) day
of the new month. If you anticipate delays, please contact the PPA Health and Safety
team immediately.

Port Hedland, Dampier and Ashburton: PPAHealth&[email protected]

Note: Employees include both permanent and casual and contractors directly employed by your organisation.

ORGANISATION
Month: Organisation:

PPA SITE RELATED HOURS


Total employee hours worked: Total subcontractor hours worked:

SAFETY STATISTICS
Have all incidents including injuries Number of Hazards reported:
been reported into PPA’s online
Incident Management System (Yes or
No). If no, they must be entered as
soon as practicable.
Number of Take 5s completed: Number of JHA’s/SWI’s/SWMS:
Number of Workplace inspections: Number of Toolbox/Safety meetings:

Note: Incidents and hazards reported through the PPA incident and hazard management
system will used in PPA’s monthly OHS Reporting. For further information regarding PPA
incident and hazard reporting, refer to the Incident Management Procedure and Hazard
Management Procedure.

REPORT COMPILED BY
Name:
Position Title:
Contact Phone Number:
Contact Email:

PROCESS OWNER
The Health and Safety Director is responsible for this form.
Date approved: 26 August 2022 Review date: 26 August 2024

Version: 10 Approved by: Health and Safety Director

A352984 Page 1 of 1
This document is uncontrolled if printed or distributed electronically

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